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Home My WebLink About90065C - Harper, Elizabeth❑DREDGE & FILL N9 90065 A B c D GENERAL PERMIT Previous permit Date previous permit issued J New ❑Modification ❑ Complete Reissue ❑ Partial Reissue As authorized by theState of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: i I SA NCAC 0 T i'. 12 0 0 ❑ Rules attached. u General Permit Rules available at the following link: www.deq.naQov/CAMArules Applicant Name — Address City Phone # Email State +t�lr,v. [ vyYt Authorized Agent - Project Location (County): r. Street Address/State Road/Lot #(s) Subdivision City Affected ❑ CW ❑ EW F9 PTA ❑ ES ❑ PTS Adj. Wtr. Body (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body t: ORW: yes/no PNA: yes/no Type of Project/ Activity Shoreline Length Access Length -- — - Pier(dock)length Fixed Platform(s) I � Floating Platform(s) T- Finger pier(s) Total Platform area 1� Groin length/# Bulkhead/Riprap length----,i— Avg distance offshore —;—+— Breakwater/Sill - -�-'.- Max distance/ length "--" Basin, channel Cubic yards Boat ramp Boathouse/ Boatlift Beach Bulldozing'__ Other i SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: Permit Conditions , , �. 711 F (Scale:, ) ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. (Please Initial) kgen( or Applicant PRINTED Name Permit Officer's PRINTED Name Signature -*Please read compliance statement on back of permit** Signature Application Fee(s) Check #/Money Order Issuing Date Expiration Date QCAMA ❑ DREDGE & FILL GENERAL PERMIT New ❑ Modification ❑ Complete Reissue ❑ Partial Reissue N° 90065 A B C D Previous permit Date previous permit issued As authorized by the State of North Carolina, Department of Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to: 15A NCAC ii % i < ❑ Rules attached. General Permit Rules available at the following link: www.den.nc.gov/CAMAruIes Applicant Name Address City State 'j t.. ZIP A t.%7i Phone # (_ ) P—H Authorized Agent Project Location (County): I i i , Street Address/State Road/Lot #(s) `T, (,,, Subdivision ""y~ City ZIP 'A y-4 ;, , 4 Affected ❑CW ❑y' EW ❑PTA ❑ES ❑PTS Adj. Wtr. Bodyti✓ :V (nat/man/unk) AEC(s): ❑ OEA ❑ IHA ❑ UW ❑ SPIMA ❑ PWS Closest Maj. Wtr. Body 7, ORW: yes/hot PNA: yes/no. Type of Project/ Activity Shoreline Length I Li-! , Access Length Pier (dock) length Fixed Platform(s) Floating Platform(s) Finger piers) Total Platform area Groin length/n Bulkhead/Riprap length - Avg distance offshore Breakwater/Sill Max distance/ length Basin, channel Cubicyards Boat ramp Boathouse/\Boatlift. Beach Bulldozing Other I SAV observed: yes no Moratorium: n/a yes no Site Photos: yes no Riparian Waiver Attached: yes no A building permit/zoning permit may be required by: (Scale:, ❑ TAR/PAM/NEUSE/BUFFER(circle one) ❑ See note on back regarding River Basin rules ❑ See additional notes/conditions on back I AM AWARE OF STATUTES, CRC RULES AND CONDITIONS THAT APPLY TO THIS PROJECT AND REVIEWED COMPLIANCE STATEMENT. or Applicant PRINTED Name Signature *'Please read compliance statement on back of permit" a Application Feels) Check!!/Money Order (Please Initial) - Permit Officer's PRINTED Name r^ Signature Issuing Date Expiration Date AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION Name of Property Owner Requesting Permit: G II Zr ne fit, H� f �LJ Mailing Address: J L Itti6 i Phone Number: J -117 3y 6 U Email Address: r L,- ti0 a<L,l, a , &c"A I certify that I have authorized Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: at my property locatt d at I0 -), OV 6 Lam. [ a.IfL 641f`�'L* . NC pr t in 1, Cti(-4crJ County. / furthermore certify that 1 am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: gnature G- J 7Abe.71. P f7� rt0u Print or Type Name�— n Title Date RFCFIvFD MAR ',) 3 This certification is valid through I I DCM-Puif-ILr CITY N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATION/WAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: E II Zi 10 ZVty 44;X?-1{ Address of Property: -�� Mailing Address of Owner: 5S& ^-4 W� 'j' -v ` INJL 1�561( rr. Owner's email: uL 00 Olwn- er's Phone#: ki Agent's Name: Agent's Email: Agent ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the Adjacent Property Owner) I hereby certify that I own property adjacentto the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A description or drawing with dimensions must be provided with this letter. I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must notify the N.G. urvrsion or Goasrar Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557, DCM representatives can also be contacted at (252) 515-5400. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION 1 understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetments). (If you wish to waive the setback, you must sign the appropriate blank below.) I DO wish to waive some/all of the 15' setbac Si gnaeo acent RiparProperty Owner -OR- 1 do not wish to waive the 15' setback requirement (initial the blank) Signature of Adjacent Riparian Property tOwner �lz� Typed/Printed name of ARPO: �ruk L o1 . n Mailing Address of ARPO: + (� Vt� �T' ARPO's email: 1 (A 4 C t, , ( , G ARPO's Phone#: a 5 02 5 Dater 3 -oZ 3- a 3 'waiver is valid for up to one year from ARPO's Signature' RfC"r-IVPI'' Revised May 2021 N.C. DIVISION OF COASTAL MANAGEMENT ADJACENT RIPARIAN PROPERTY OWNER NOTIFICATIONIWAIVER FORM CERTIFIED MAIL RETURN RECEIPT REQUESTED or HAND DELIVERY (Top portion to be completed by owner or their agent) Name of Property Owner: a- CL t� taw 1 Address of Property: (U) �JC Mailing Address of Owner: S(lr t_ tom" t7-3Y4c Owner's email: SW I'L�J+ G �/)ti �' Owner's Phone#: a> � Agent's Name: Agent Phone#: Agent's Email: ADJACENT RIPARIAN PROPERTY OWNER'S CERTIFICATION (Bottom portion to be completed by the AdiacentProperty Owner) I hereby certify that I own property adjacent to the above referenced property. The individual applying for this permit has described to me, as shown on the attached drawing, the development they are proposing. A de�scription or drawing with dimensions must be provided with this letter. /n 1y—,? I DO NOT have objections to this proposal. I DO have objections to this proposal. If you have objections to what is being proposed, you must noury me l..�. UM.1.11 �, Management (DCM) in writing within 10 days of receipt of this notice. Correspondence should be mailed to 400 Commerce Ave., Morehead City, NC 28557. DCM representatives can also be contacted at (252) 515-5400. No response is considered the same as no objection if you have been notified by Certified Mail. WAIVER SECTION I understand that any proposed pier, dock, mooring pilings, boat ramp, breakwater, boathouse, lift, or groin must be set back a minimum distance of 15' from my area of riparian access unless waived by me (this does not apply to bulkheads or riprap revetment% \(If you wish to waive the setback, you must sign the appropriate blank below.) l I DO wish to waive somelall of the 15' setback Signature ofXcjace* Riparian Property Owner No 1 do not wish to waive the 15' setback requirement knitial the Signature of Adjacent Riparian Property Owner: Typed/Printed name of ARPO: 1 \\ \ \`-IN /Fes.. r ` 1// ++ _ d boo In (otOf ( Onl4 ,� 5 l Mailing Address of ARPO: w ------/ (J ARPO'semail: Ilr�rLt rI (AtrARPO'sPhone#: "(�� f �v �� ` Dater 3' 2, a'd 3 *waiver is valid for up to one year frj$�_Rrly�§FS'9nature* Revised May 2021 MAR 91 "P pFt".F11 i= . MAR )�� i(; o(An-nriMtj t.sr"